0100T prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0100T, Placement of a subconjunctival retinal prosthesis receiver and pulse generator, and implantation of intra-ocular retinal electrode array, with vitrectomy, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0100T
Description: Placement of a subconjunctival retinal prosthesis receiver and pulse generator, and implantation of intra-ocular retinal electrode array, with vitrectomy
Source: New Hampshire Precertification List, Pg 21 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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